DVIR

• Store Number

Date of Inspection

• Date of Inspection

  Date

Vehicle Number

• Vehicle Number

Starting Mileage

• What is your starting Mileage?

• Prepared by

• Conducted on

  Date

ENGINE

• Air Compressor

  Satisfactory

  Unsatisfactory

  N/A

• Fuel Leak

  Satisfactory

  Unsatisfactory

  N/A

• Oil Pressure

  Satisfactory

  Unsatisfactory

  N/A

• Oil Leaks

  Satisfactory

  Unsatisfactory

  N/A

• Water Leak

  Satisfactory

  Unsatisfactory

  N/A

• Heats Up

  Satisfactory

  Unsatisfactory

  N/A

• Oil Level

  Satisfactory

  Unsatisfactory

  N/A

• Water Level

  Satisfactory

  Unsatisfactory

  N/A

• Alternator

  Satisfactory

  Unsatisfactory

  N/A

• Starter

  Satisfactory

  Unsatisfactory

  N/A

CLUTCH

• Clutch

  Satisfactory

  Unsatisfactory

  N/A

TRANSMISSION

• Transmission

  Satisfactory

  Unsatisfactory

  N/A

DRIVE LINES

• Drive Lines

  Satisfactory

  Unsatisfactory

  N/A

STEERING

• Steering

  Satisfactory

  Unsatisfactory

  N/A

FRONT AXLE

• Brakes

  Satisfactory

  Unsatisfactory

  N/A

• Springs

  Satisfactory

  Unsatisfactory

  N/A

• Wheels & Rims

  Satisfactory

  Unsatisfactory

  N/A

• Tires

  Satisfactory

  Unsatisfactory

  N/A

REAR AXLES

• Service Brakes

  Satisfactory

  Unsatisfactory

  N/A

• Parking Brakes

  Satisfactory

  Unsatisfactory

  N/A

• Springs

  Satisfactory

  Unsatisfactory

  N/A

• Wheels & Rims

  Satisfactory

  Unsatisfactory

  N/A

• Tires

  Satisfactory

  Unsatisfactory

  N/A

BODY

• Defroster-Heater

  Satisfactory

  Unsatisfactory

  N/A

• Mirrors

  Satisfactory

  Unsatisfactory

  N/A

• Glasses

  Satisfactory

  Unsatisfactory

  N/A

• Lights & Reflectors

  Satisfactory

  Unsatisfactory

  N/A

• Instruments

  Satisfactory

  Unsatisfactory

  N/A

• Horn

  Satisfactory

  Unsatisfactory

  N/A

• Batteries

  Satisfactory

  Unsatisfactory

  N/A

• WIndshield Wipers

  Satisfactory

  Unsatisfactory

  N/A

• Air Leak

  Satisfactory

  Unsatisfactory

  N/A

SAFETY EQUIP

• Triangle Reflectors

  Satisfactory

  Unsatisfactory

  N/A

• Fire Extinguisher w/ Current Inspection

  Satisfactory

  Unsatisfactory

  N/A

• Tie-Down Straps W/O Defects

  Satisfactory

  Unsatisfactory

  N/A

• Tie-Down Bar

  Satisfactory

  Unsatisfactory

  N/A

• Tag Expiration

  Satisfactory

  Unsatisfactory

  N/A

• #94018 (in Glove Box)

  Satisfactory

  Unsatisfactory

  N/A

• Annual Inspection Decal

  Satisfactory

  Unsatisfactory

  N/A

DOT Roadside Inspection

• Was there a DOT Roadside Inspection Performed today?

  Yes

  No

  N/A

End of Day / Inbound Driver

• I acknowlege that the information provided above is accurate

  Yes

  No

  N/A

End of Day

• I acknowledge that I have reviewed this report and, if applicable, there is a certification that the above defects of deficiencies have been repaired or the repairs are unnecessary.

  Yes

  No

  N/A